Key finding
Patient activation increased by 2.87 points (p = 0.005)
This study evaluated the preliminary efficacy of a digital intervention, SMART, aimed at improving metabolic health in individuals with schizophrenia spectrum disorders, showing significant improvements in various health-related outcomes.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Quick read
The essential study design details in one scan.
Population
Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes
Intervention
Schizophrenia and diabetes Mobile-Assisted Remote Trainer (SMART)
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Primary outcome
Patient Activation
Evidence
Moderate confidence
Plain-language summary
A plain-language read of the study's main message and where it applies.
Study focus
This study evaluated the preliminary efficacy of a digital intervention, SMART, aimed at improving metabolic health in individuals with schizophrenia spectrum disorders, showing significant improvements in various health-related outcomes.
Improving metabolic health in individuals with schizophrenia is crucial, as they are at higher risk for diabetes and related health issues. The significant improvements observed in this study highlight the potential of digital health interventions to enhance self-management and overall health outcomes, which could lead to better quality of life and reduced healthcare costs for this vulnerable population.
The study design was non-randomized, limiting causal inferences. Sample size and demographic diversity were not specified. Effectiveness of the intervention remains unclear due to the study's design.
Published in
Publication details and source links for this paper.
Urska A, Gabrielle R, Nicole K, et al. Preliminary efficacy of a digital intervention for improving metabolic health in individuals with schizophrenia spectrum disorders. BJPsych Open. 2026;12(3):e122. doi:10.1192/bjo.2026.11032
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Patient activation improved by 2.87 points (p = 0.005).
Confidence in diabetes self-management improved by 0.67 points (p < 0.001).
General health management improved by 0.56 points (p = 0.017).
Health literacy improved by 0.23 points (p = 0.032).
Mental health recovery improved by 1.18 points (p = 0.022).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Mobile app for diabetes self-management and Diabetes self-management behaviors, General Health Management Improvement, Health Literacy Improvement, and 2 more.
This study contributes evidence to
Primary intervention
Mobile app for diabetes self-management
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
1
Related topics
5
Evidence pairs
45
Related studies
Evidence topic
Contributes evidence
Core evidence
The primary outcomes reported in this study.
Mobile app for diabetes self-management → Diabetes self-management behaviors
Mobile app for diabetes self-management → Diabetes self-management behaviors
Evidence profile
Mobile app for diabetes self-management → General Health Management Improvement
Mobile app for diabetes self-management → General Health Management Improvement
Evidence profile
Mobile app for diabetes self-management → Health Literacy Improvement
Mobile app for diabetes self-management → Health Literacy Improvement
Evidence profile
Mobile app for diabetes self-management → Mental health
Mobile app for diabetes self-management → Mental health
Evidence profile
Mobile app for diabetes self-management → Patient Activation
Mobile app for diabetes self-management → Patient Activation
Evidence profile
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Mobile app for diabetes self-management and Diabetes Management Self-Efficacy, Mobile app for diabetes self-management and General Health Management Improvement.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Diabetes Management Self-Efficacy
Measures Diabetes Management Self-Efficacy as a key outcome.
All studies on Mobile app for diabetes self-management
Contributes to Mobile app for diabetes self-management evidence base.
All studies measuring General Health Management Improvement
Measures General Health Management Improvement as a key outcome.
Latest published studies
Published within the last 2 years.
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3 results
1 results
3 results
3 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Mobile app for diabetes self-management appears to improve Diabetes self-management behaviors.
ConsensusScore™: Results are consistent across studies.
Ranked evidence signals
Diabetes self-management behaviors
EvidenceScore™ Emerging | EvidenceScore™ 59.7 | strong positive | ConsensusScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Mobile app for diabetes self-management appears to improve General Health Management Improvement.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
General Health Management Improvement
EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Mobile app for diabetes self-management appears to improve Health Literacy Improvement.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Health Literacy Improvement
EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Mobile app for diabetes self-management appears to improve Mental health.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Mental health
EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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